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General NPI Number Information
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NPI Number | 1124253711
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Entity Type | Organization
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Legal Business Name | UNION ACUPUNCTURE & NATURAL HEALING CLINIC
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 905 S EUCLID ST
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City | FULLERTON
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State | CA
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Zip | 92832-2808
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Country | US
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Telephone | 714-446-9144
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Fax | 562-299-5912
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Provider Business Mailing Address
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Address Line | 905 S EUCLID ST
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City | FULLERTON
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State | CA
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Zip | 92832-2808
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Country | US
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Telephone | 714-446-9144
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Fax | 562-299-5912
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH RHEE
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Credential |
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Telephone | 714-446-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 12142
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License Number State | CA
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